PMID: 8606268Mar 1, 1996Paper

Triggers of myocardial ischemia during daily life in patients with coronary artery disease: physical and mental activities, anger and smoking

Journal of the American College of Cardiology
F H GabbayA Rozanski

Abstract

This study assessed the potency of physical and mental activities and emotions (anger and anxiety) and smoking and other substance use as proximate triggers of ischemia in patients with coronary artery disease during daily life. Myocardial ischemia occurs during a wide variety of activities in patients with coronary artery disease, but frequency and relative potency of physical and mental activities, smoking and use of caffeine and alcohol as triggers of ischemia during daily life have not been established. Patients (n = 63) with coronary artery disease and evidence of out-of-hospital ischemia kept a validated structured diary of physical and mental activities and psychologic states while undergoing ambulatory electrocardiographic monitoring for 24 to 48 h. Ischemia occurred most frequently during moderately intense physical and mental activities. Patients spent the largest proportion of time engaged in low intensity physical and mental activities (p < 0.05), but the likelihood of ischemia was greatest during intense physical (p < 0.0001) and stressful mental activities (p < 0.03). The percentage of time in ischemia was elevated and approximately equivalent for high intensity physical and high intensity mental activities (5%) c...Continue Reading

References

Sep 1, 1992·Archives of Internal Medicine·M G Myers, A Basinski
Aug 1, 1992·The American Journal of Cardiology·G IronsonG M Segall
May 1, 1991·Journal of the American College of Cardiology·C N BaireyA Rozanski
Dec 8, 1991·The New England Journal of Medicine·A C YeungA P Selwyn
Dec 1, 1990·Journal of Community Health·L Christensen, T Murray
Apr 21, 1988·The New England Journal of Medicine·A RozanskiD S Berman
Oct 1, 1988·The American Journal of Cardiology·D TzivoniS Stern
May 1, 1986·The American Journal of Cardiology·J E DeanfieldA P Selwyn
Jan 1, 1987·Circulation·R L VerrierB Lown
Jan 1, 1985·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·T P CarmodyW E Connor
Aug 1, 1984·Annals of Internal Medicine·A RozanskiH J Swan
May 1, 1995·Health Psychology : Official Journal of the Division of Health Psychology, American Psychological Association·K F HelmersA Rozanski

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Apr 13, 2005·Medical Hypotheses·Katharine O Burleson, Gary E Schwartz
Aug 5, 2008·Journal of Nuclear Cardiology : Official Publication of the American Society of Nuclear Cardiology·Mustafa HassanDavid S Sheps
Aug 7, 1998·Atherosclerosis·F MachP Libby
May 10, 2001·Journal of the American College of Cardiology·J A KovachR L Verrier
Aug 31, 2001·Journal of the American College of Cardiology·W J KopD S Krantz
Jul 1, 1997·Journal of the American College of Cardiology·J J MahmarianC M Pratt
Nov 20, 1998·Journal of the American College of Cardiology·T C AndrewsP H Stone
Jun 11, 2003·Journal of Consulting and Clinical Psychology·Robert A CarelsWilliam H O'Brien
Dec 15, 2005·Psychological Bulletin·Sarah D Pressman, Sheldon Cohen
Aug 9, 2002·Behavioral Medicine·C Noel Bairey MerzRobert H Schneider
Nov 28, 2012·European Heart Journal·Donald EdmondsonKarina W Davidson
Jun 27, 2002·The Journals of Gerontology. Series A, Biological Sciences and Medical Sciences·Ruth D LipmanJ Andrew Taylor
Aug 1, 1997·Australian and New Zealand Journal of Medicine·J H Campbell, G R Campbell
Apr 16, 2003·Heart·J S Chi, R A Kloner
May 28, 2013·BMC Cardiovascular Disorders·Lesley StaffordHenry J Jackson
Feb 27, 2010·Clinical Journal of the American Society of Nephrology : CJASN·Hidenori KoyamaYoshiki Nishizawa
Feb 13, 2004·Progress in Cardiovascular Diseases·Philip C Strike, Andrew Steptoe
Dec 30, 2008·Preventive Medicine·Lorenzo RichiardiFrancesco Barone-Adesi
Oct 22, 2008·The American Journal of Cardiology·Mustafa HassanDavid S Sheps
Mar 8, 2007·Heart Rhythm : the Official Journal of the Heart Rhythm Society·Matthew StopperRachel Lampert
Aug 30, 2005·International Journal of Psychophysiology : Official Journal of the International Organization of Psychophysiology·John M RuizTimothy W Smith
May 7, 2013·The American Journal of Cardiology·Elizabeth MostofskyMurray A Mittleman
Apr 30, 2013·Progress in Cardiovascular Diseases·Jerry Suls
Oct 23, 2013·Chronobiology International·James S Dunn, Chloe E Taylor
Jun 19, 2013·International Journal of Psychophysiology : Official Journal of the International Organization of Psychophysiology·Vaughan G MacefieldLuke A Henderson
Dec 17, 2014·American Heart Journal·Pratik PimpleViola Vaccarino
Jul 25, 2006·International Journal of Cardiology·Viktor Culić
Nov 28, 2008·International Journal of Cardiology·Krisztina D LászlóStaffan Ahnve
Dec 8, 2011·Medicine, Science, and the Law·C TerranovaS D Ferrara
May 26, 2018·Psychosomatic Medicine·J Douglas BremnerViola Vaccarino
Sep 24, 2004·Psychosomatic Medicine·Stephen H BoyleJohn C Barefoot
Oct 3, 2002·Circulation·Rachel LampertDiwakar Jain

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